Journal of rehabilitation welfare engineering & assistive technology
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v.9
no.2
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pp.137-144
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2015
In this paper, we present an inertial sensor-based gait analysis system to measure and analyze lower-limb movements. We developed an integral AHRS(Attitude Heading Reference System) using a combination of rate gyroscope, accelerometer and magnetometer sensor signals. Several AHRS modules mounted on segments of the patient's body provide the quaternions representing the patient segments's orientation in space. And a method is also proposed for calculating three-dimensional inter-segment joint angle which is an important bio-mechanical measure for a variety of applications related to rehabilitation. To evaluate the performance of our AHRS module, the Vicon motion capture system, which offers millimeter resolution of 3D spatial displacements and orientations, is used as a reference. The evaluation resulted in a RMSE(Root Mean Square Error) of 1.08 and 1.72 degree in yaw and pitch angle. In order to evaluate the performance of our the gait analysis system, we compared the joint angle for the hip, knee and ankle with those provided by Vicon system. The result shows that our system will provide an in-depth insight into the effectiveness, appropriate level of care, and feedback of the rehabilitation process by performing real-time limb or gait analysis during the post-stroke recovery.
A steady increase in the aged population poses a great challenge to nurses with their diversities of health care needs, especially of psychological nature, such as an alienation problems among the aged. The purpose of this study is to examine the nature of alienation problems among the aged in urban areas to provide basic informations for a better understanding of aged people. In this study, the investigator has tried to identify causes of alienation in the aged, and to determine the extent of alienation in relation to sex, family structure, religion, economic status and participation in social activities. The survey was done during the period from the last part of August to the end of September 1973. After a day's training, 10 interviewers have interviewed 210 stratified random samples of people over the age of 65 residing in Seoul with the free-ended questionnaire prepared by the investigator. The result of the study was tested by Critical Ratio. Following Hypothesis have guides formulation of the study: I. The extent of alienation in old man would be higher than in old woman, II. The extent of alienation in the aged who live alone would be higher than those living with their family. III. The extent of alienation in the aged who have no spouse would be higher than who live with their spouse. IV. The extent of alienation in the people without religious beliefs would be higher than the people with religious biles. V. The extent of alienation in the aged would be higher in proportion to decreased level of their economic productivity. Ⅵ. The extent of alienation in the aged who do not participate in social activities would be higher than that of the aged who actively participate. The analytic results of the study are as fellows: 1. The extent of alienation in woman was revealed higher than that of man by showing significant difference at P〈0.01 level. (CR=3.66) Accordingly hypothesis I was denied. 2. The extent of alienation in the aged wile live alone was revealed higher than that of the aged who live with their family by showing a significant difference at P<0.01 level. (CR=7.31) So hypothesis II was supported. 3. The extent of alienation of the aged who have no spouse was revealed higher than that of the aged who live with their spouse at the significant level of P <0.01. CR=4.65) Accordingly hypothesis III was supported, 4. There was no significant difference in the extent of alienation between the people with and-without religion. Thus hypothesis IV was rejected. 5. The extent of alienation in the aged was found to be higher in proportion to decreased level of their economic ability. a. The aged with greatest income showed least alienation b. The aged with no income had a greater extent of alienation than the aged with minimal income by showing significant difference at P <0.01 level . (CR=4.82) c. The difference between the greatest income group and the minimal income group was. found to be less significant than the difference between minimal income group and the-people without income. Thus hypothesis V was positively supported. 6. The extent of alienation in the aged who do not participate in social activities was higher than that of the aged who actively participate. (P <0.01, CR=6.24) According1y hypothesis Ⅵ was supported.
This study was attempted for clinical investigation regarding with Apgar score changing phase of newborns and their sucking power related the score and weight. The data for this study obtained from 545 newborns who were born at Dept. of obstetric WooSok Hospital, Korea University from Jan. to Sept.. 1373. It is hoped that this study will contribute to nursing care planning of newborns in nursery. The Apgar score was checked in the delivery room at 1 minute after delivery by Doctor and rechecked at 30 minutes and 1 hour after delivery by nurses. The results obtained were as follows: 1. The total newborn numbers at 1 minute after delivery were 545, at 30 minutes were 542 (3 dead) and at 1 hour were 540. The babies were divided into 3 groups by the Apgar score. The frequency of group 1 (score 1 to 4) at each times were 5.0%, 0.9%, 0.4%, group 2 (score 5 to 7) 11.2%, 4.1%, 1.7% and group 3 (score 8 to 10) 83.8%, 95.0%, 97.9%. 2. The group I was found most frequently among the cases of less than 2, 500g and group 3 was found among the cases over 2.500g. It was found that there was a tendency of delaying in recovery process of low score among the premature and low birth weight newborns. 3. The type of delivery, breech and other I e was found worst and C-Section was the second, however normal spontaneous delivery was found the best. 4. In observation of sucking power of the newborn related its score and weight, good, fair, poor marks were given. But for convenience of statistical analysis. good and fair was collected together and poor alone evaluated. The result of group 1.2 examined statistically by F.E.T shown no relation between newborn weight and sucking power. however group 3, examined by X$^2$test shown very significant relation between newborn weight and sucking power. 5. The mortality rate of newborn while they were in hospital was found 2.6% to 545 of birth and all cases of dead belonged to group 1 at 1 minutes after delivery. 64.3% of the dead was found among the cases less than 2, 500g. 6. It was found that in this observation premature and Newborn asphyxia had influence to low score at birth. Conclusively, good anthemata carr should be emphasized in order to prevent main causes of these and should avoid abnormal delivery as possible.
Lim, Kwang-Ryeol;Kim, Hong-Il;Ahn, Sung-Min;Hwang, So-Min;Jung, Yong-Hui;Song, Jennifer K.
Archives of Craniofacial Surgery
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v.12
no.2
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pp.81-85
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2011
Purpose: Nasal bone fracture is the most common facial fracture. Although nasal bone fractures are considered to be minor injuries, the incidence of post-traumatic nasal deformity remains high. This study is designed to support management and patient satisfaction by classifying the simple nasal bone fracture, and survey the care method and result, which is compared with other studies. Methods: From May 2008 to April 2010, 334 patients with simple nasal bone fractures visited our hospital. The incidence, cause, types of nasal bone fracture, treatment, and complications are analyzed according to clinical examination, patient's record and radiographic images. Results: The mean age of patients was 30 years old, with 74% of the patients having been male, and 26% were female. The highest incidence of this fracture was between late teens to late twenties. The causes of nasal bone fracture were the following: having slipped or fallen down (39%), violence (16%), sports accident (14%), traffic accident (11%), industrial accident (6%), and others (16%). Patient's radiographic images were analyzed by Stranc and Robertson classification, frontal impact plane I was 38%, plane II was 16%, plane III was 1%, lateral impact plane I was 21%, plane II was 21%, and plane III was 3%. On average, surgical treatment was performed 7.2 days after trauma under general anesthesia. Closed reduction of nasal bone fracture was performed in 99% of patients. In patients with septal injuries, septal management was performed in 76.7% of cases. Aesthetic surgery was done on same time in 24% of patients. There were some complications, such as residual nasal deformity (7.2%), nasal obstruction (0.9%) and hyposmia (0.3%). Conclusion: According to this study, nasal bone fractures occurred commonly in physically active age groups (age 15~29 years), as a result of having slipped or fallen down, at afternoon and at night time. And it could be treated successfully by closed reduction and septoplasty by 7 days after trauma.
'Headline Database of Newspaper Articles' is a database which contains about 141,500 newspaper articles from 1949 to March, 2009. They are collected from two perspectives; 'language' and 'language life' by KOKKEN. There were 3312 newspaper articles (about 2.34%) which included the word ONNA at 'Headline Database of Newspaper Articles'. The number of newspaper articles related to ONNA started to increase in 1975 but they decreased afterwards. They increased rapidly in 1980 and maintained the condition. However, they started to decrease rapidly in 1990 and maintained the decreased condition. They increased rapidly again in 2004 and 2007. The main causes of rapid increase were the commercial message of instant noodles "I am the one who is making. I am the one who is eating." in 1975, newspaper articles related to "Starting of full-scale studies on female language" in 1980, comments of "active women" and "men's crime" related to a murder case of an elementary school student in Sasebo City and mixed attendance books in 2004, a comment of "Women are machines which give birth to babies" in 2007. Those six causes of rapid increase suggested that the perception of gender such as 'Men need to work outside and Women need to do housework and take care of child' which was fixed until then was changing and becoming a stereotype of virtual reality rather than reality. The vocabulary related to ONNA appeared 3411 times among 3312 newspaper articles which included ONNA. Typical forms of the vocabulary related to ONNA were and . They appeared 2390 times and occupied 70% of the whole data. (3411 times) The form of ONNANOKO among the vocabulary related to ONNA appeared 113 times and occupied a high rate. ONNANOKO(113) and other words such as SHOJO(115), JOJI(28), YOJO(9) (152 in total) implied that appearing of young women at newspaper articles were increasing. Also, the vocabulary related to 'female language' such as ONNAKOTOBA(28) ONNANOKOTOBA(10) and a woman's heart such as ONNAGOKORO(35) and ONNANOKIMOCHI(34) appeared frequently. The vocabulary related to JOSEI were divided into <$JOSEI^{**}$> and <$^{**}JOSEI$>. <$JOSEI^{**}$> were mainly related to an occupation. <$^{**}JOSEI$> were mainly used to express women by regional groups such as or combined with modifiers to express women such as . In case with modifiers, WAKAIJOSEI appeared 35 times and showed the highest frequency. It had negative evaluations in many cases. The vocabulary related to JOSI appeared on the form of <$JOSI^{**}$> and mainly associated with 'a girl's school' and 'a female student'.
Kim, Min Ah;Heo, Il Kwon;Jung, Sang Mi;Seo, Jung A
Korean Journal of Social Welfare Studies
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v.48
no.2
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pp.5-33
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2017
This study explored challenges and desires related to social relationships among adolescents with intellectual disabilities, using the photovoice method. Six adolescents with intellectual disabilities (M = 18.33 years) who are attending a general high school participated in 7 sessions of a photovoice program. They selected themes related to social relationships through group discussions and shared their photos related to the themes with other participants. Our study yielded 15 subthemes within 5 social relationships (peers, teachers, boyfriends/girlfriends, parents, persons whom I need) from adolescents with intellectual disabilities as follows: relationships with peers (feeling lonely and left out, being teased and bullied by peers, making efforts to fix damaged relationships with friends), relationships with teachers (feeling appreciated by teachers who understand me, lacking interactions with teachers, wanting teachers to show they care about my school life), relationships with boyfriends/girlfriends (wanting to have a boyfriend/girlfriend, feeling worried and fearful about having a boyfriend/girlfriend, trying to attract a boyfriend/girlfriend), relationships with parents (being thankful to parents for their unconditioned love, enjoying time with parents, feeling bad because of not being close to father), persons whom I need (persons who enjoy spending time with me, persons who help me, persons who never give up on me). This study provides implications for social work practice, such as training for improving peer relationships and coping with peer conflict, education for fostering healthy romantic relationships, training for promoting social skills of adolescents with intellectual disabilities, and education for increasing awareness of the social needs of students with intellectual disabilities among peers without disabilities, teachers, and social workers.
Background and Objectives : In children with tracheal stenosis, operative management remains a challenging problem due to difficulties of operative techniques and postoperative care. The purpose of this study was to determine the effectiveness of tracheal resection with end to end anastomosis as operative management for tracheal stenosis in children. Materials and Methods : 6 children with severe tracheal stenosis underwent tracheal resection with end to end anastomosis. Causes of stenosis were trauma in 1 case and prolonged intubation or tracheotomy in 5 cases. The diagnoses were made by radiologic evaluation (plain X-ray, CT, 3-Dimensional CT) and confirmed by direct laryngoscopy and ventilating bronchoscopy under general anesthesia. Thyroplasty and unilateral arytenoidectomy were performed in 1 case. Suprahyoid release was done in 1 case with severe adhesion. Decanulation was achieved following postoperative endoscopic examination and pulmonary function test. Postoperative physical and radiologic examinations were given at regular intervals. Results : Stenosis were improved from grade III grade I in 4 cases and from grade II to grade I in 2 cases. Decanulation was achieved on average postoperative 6 months in 5 cases, and 10 years in 1 case due to exertional dyspnea. There were 1 each case of immediate postoperative subcutaneous emphysema, pneumothorax and wound infection. Postoperative granulomas at anastomosis site were treated with laser vaporization under suspension laryngoscope and bronchoscope in 3 cases. There was 1 each case of delayed postoperative vocal cord palsy, aspiration pneumonia and loss of cough reflex. Conclusion In tracheal stenosis of children, tracheal resection with end to end anastomosis has good result with preservation of normal airway. Preoperative evaluation of local factors such as swallowing, vocal cord movement and cough reflex and general condition was important for successful treatment. As the cases in adults, authors considered this operation to be a curable operative management for tracheal stenosis.
The purpose of this paper is to examine the unmanned life and poetic world of Ilong Choehuilyang. Choehuilyang is uninhabited and rarely left 227 poems and being recognized for his poetic achievements by later writers. Therefore, it would be meaningful to look at Choehuilyang's poetic world in the point of studying the unmanned poetry system. In Chapter 2, I looked at life as a base stage to understand Choehuilyang. Choehuilyang from his youth while studying at the age of 21, but turned to 武科. This is due to the gauntlet of the family who does not care about the 文武, Choehuilyang's grand physical condition and the resulting unattended temperament. Choehuilyang passed the exam in the past. And he won the war seven times under General Admiral Yi. However, when Admiral Yi Sun - shin was killed in Noryang, Choehuilyang returned to his hometown. After that, he died without going out until he was 92 years old. In Chapter 3, we examined Choehuilyang's spoetic world based on Chapter 2. Choi 's poetry can be divided into revealing the temperament of the unmanned, living peacefully in his hometown after returning home, and revealing his concern for the country. The poems revealing the unattended temperament are created by sensuous sheer or direct narrative when they are on the battlefield, when they watch the war after returning home. Peaceful life in Kangho was created in Naju, the hometown. And the poem that worried about the country was created by seeing the sick horan. I hope that the research that has been discussed so far will help to understand Choehuilyang's life and world.
In this article, I reveal the ontological basis or grounds of 'Sangsaeng' through the Heideggerian Thought by focusing on 'HaewonSangsaeng' in Daesoon Thought and Daesoon Jinrihoe. 'Sangsaeng' means 'to live (well) with others.' 'Living' in this context means not only humans living among humans, but also all beings that exist and are able to live well with each other. At this time, we can find the basis for 'Sangsaeng' in Daesoon Thought or Daesoon Jinrihoe through Heidegger's 'Geviert-Welt,' 'Gelassenheit,' and 'Wohnen.' In other words, we can provide a basis for 'Sangsaeng' through 'Geviert-Welt' in which one of the 'four' of 'earth, sky, divine things, and those who will die' unfold in a mutually beneficent manner, and the human attitude of 'Gelassenheit' can enter 'Geviert-Welt.' Naturally, when limited to humans, this 'Sangsaeng' is achieved through 'Wohnen,' a way of being a human who enters the 'Gevirt-Welt' and lives while taking care of everything that exists. However, 'Wohnen' takes place in 'Geiert-Welt.' Therefore, in this article, I insist that the ethical ideology or guideline of Daesoon Thought or Daesoon Jinrihoe's 'Sangsaeng' is already ideologically achieved through an ontological horizon such as 'Gevier-Welt,' 'Gelassenheit,' and 'Wohnen.' And under these circumstances, it can be revealed that 'Haewon' is already being resolved.
In this paper, I review Pellegrino's Reader, The Philosophy of Medicine Reborn. Pellegrino has emphasized the humanities' reflection on the ethics of medicine. He insists that medical ethics should be re-established as modern society changes. This paper, based on Pellegrino's view, noted the problematic situation in literature and popular narrative texts. Indeed, I wanted to see what answer medical ethics could provide for us. Medical personnel had a philosophical dilemma or a conflict between reality and ethics. Pellegrino argues that medical personnel, above all, need to sympathize with the patient's pain and respond to their needs through interaction with them. This may seem like a very legitimate declaration. But a physician in literary texts and popular narrative texts is often exposed to this ethical dilemma. Through Lee Cheongjun's novel, we can reflect on how a medical personnel could lead a patient to a state of "goodness". And through medical dramas, we can grasp what ethical behaviors the public demands from a medical personnel. Now that the world is suffering from COVID-19, medical workers are in a great trouble, but at the same time, they are respected by the public and are also enhancing their value as ethical beings. Now that medical care has become an everyday narrative, medical ethics is becoming a prerequisite for living. This paper attempted to recognize the importance of medical ethics and to review the ethical issues embodied in medical narratives.
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